Product Manager – Fraud, Waste & Abuse

Cotiviti

Product Manager driving strategy for Cotiviti’s FWA product suite, leveraging analytics to improve healthcare billing integrity. Collaborating across teams to deliver high-impact solutions.

Posted 6/23/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $103,000 - $128,000 per yearWebsite

About the role

Key responsibilities & impact

Define the product strategy and roadmap
Deliver product market requirements documents with prioritized features and corresponding justifications
Work with external third parties to assess partnerships and licensing opportunities
Be an expert with respect to the competition
Develop the core positioning and messaging for the product
Perform product demos to customers
Collaborate with Marketing to develop sales tools
Propose an overall budget to ensure success
Briefly train the sales force at quarterly sales meetings
Act as a leader within the company
Collaborate with analytics and AI/ML teams to enhance product capabilities, including rules-based detection, provider scoring, and advanced data insights that identify aberrant billing behaviors
Balance competing priorities across stakeholders, manage trade-offs, and ensure alignment between strategic goals and execution.
Contribute to the evolution of integrated offerings (e.g., prepay and postpay solutions) to deliver a cohesive, end-to-end fraud detection and payment integrity platform
Provide domain expertise in fraud, waste, and abuse workflows, including provider investigations, case management, and recovery processes.
Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.

Requirements

What you’ll need

Bachelor’s degree in Business, Computer Science, or other field demonstrating technical expertise.
Previous experience in healthcare FWA preferred.
3-5+ years of Product Management experience required.
Strong analytical and product management skills required, including a thorough understanding of how to interpret client business needs and translate them into application and operational requirements.
Demonstrated success defining and launching web based services and products.
Excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts.
Experience with Kanban preferred.
Experience with AI and/or Machine Learning initiatives preferred.
Technical background, with experience in software development.
Proven ability to influence cross-functional teams without formal authority.
Proficiency in Microsoft Excel, Microsoft Access, Database interaction capabilities.
Medicare Advantage or other healthcare experience preferred.
National Heath Care Anti-Fraud Association - Certified Accredited Health Care Fraud Investigator preferred.

Benefits

Comp & perks

medical, dental, vision, disability, and life insurance coverage
401(k) savings plans
paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

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Hard Skills & Tools

Product ManagementAnalytical skillsWeb-based servicesSoftware developmentAIMachine LearningDatabase interaction

Soft Skills

LeadershipCommunicationCollaborationInfluencingCoachingTeam building

Certifications

Certified Accredited Health Care Fraud Investigator